Provider Demographics
NPI:1518357631
Name:QUARSHIE, PEARL SEMANU
Entity Type:Individual
Prefix:
First Name:PEARL
Middle Name:SEMANU
Last Name:QUARSHIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 ELY AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-2636
Mailing Address - Country:US
Mailing Address - Phone:917-400-0303
Mailing Address - Fax:
Practice Address - Street 1:3440 ELY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-2636
Practice Address - Country:US
Practice Address - Phone:917-400-0303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY320258251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care